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draft Template  IHE PCC Annotation Comment

Id 2.16.840.1.113883.2.51.10.59 Effective Date 2022‑03‑03 11:33:51
Status draft Draft Version Label 2017
Name IHEPCCAnnotationComment Display Name IHE PCC Annotation Comment
Description
***CANCELLED! USE IHE PCC Comment Entry***
This entry allows for a comment to be supplied with each entry.
For CDA this structure is usually included in the target act using the <entryRelationship> element defined in the CDA Schema, but can also be used in the <component> element when the comment appears within an <organizer>. The example below shows recording a comment for an <entry>, and is used as context for the following sections. For HL7 Version 3 Messages, this relationship is represented with the element <sourceOf>, although the remainder of the typecodes and semantics are unchanged. Any condition or allergy may be the subject of a comment.

See also IHE PCC Wiki Content

Context Parent nodes of template element with id 2.16.840.1.113883.2.51.10.59
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.2 eHDSI Comment (DYNAMIC)
ref
epsos-

Specialization: template 2.16.840.1.113883.10.20.1.40 Befundtext (Anmerkungen und Kommentare)-deprecated (DYNAMIC)
ref
elga-
Example
Structure included in the target act using the <entryRelationship> element
<entry>
  <observation classCode="OBS" moodCode="EVN">
    
....
    <entryRelationship typeCode="SUBJ" inversionInd="true">
      <act classCode="ACT" moodCode="EVN">
        <templateId root="2.16.840.1.113883.10.20.1.40"/>        <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>        <code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>        <text>
          <reference value="#comment-2"/>        </text>        <statusCode code="completed"/>        <author>
          <time value=""/>          <assignedAuthor>
            <id root="" extension=""/>            <addr>
              <!-- .. -->
            </addr>            <telecom value="" use=""/>            <assignedPerson>
              <name>
                <!-- .. -->
              </name>            </assignedPerson>            <representedOrganization>
              <name>
                <!-- .. -->
              </name>            </representedOrganization>          </assignedAuthor>        </author>      </act>    </entryRelationship>    <!-- :: -->
  </observation></entry>
Example
Structure used in the <component> element when the comment appears within an <organizer>
<entry>
  <organizer>
    <!-- :: -->
    <component typeCode="COMP">
      <act classCode="ACT" moodCode="EVN">
        <templateId root="2.16.840.1.113883.10.20.1.40"/>        <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>        <code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>        <!-- :: -->
      </act>    </component>  </organizer></entry>
Item DT Card Conf Description Label
hl7:act
 		The related statement is an event (moodCode='EVN') describing the act (classCode='ACT') of making an arbitrary comment or providing instruction on the related entry. (IHEdotsent)
@classCode
 		cs 1 … 1 F ACT
@moodCode
 		cs 1 … 1 F EVN
hl7:templateId
 		II 1 … 1 M (IHEdotsent)
@root
 		uid 1 … 1 F 2.16.840.1.113883.2.51.10.59
hl7:templateId
 		II 1 … 1 M (IHEdotsent)
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.2
hl7:templateId
 		II 1 … 1 M (IHEdotsent)
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.20.1.40
hl7:code
 		CD 1 … 1 M The element indicates that this is a comment and shall be recorded as shown above. The codeSystem and code attributes shall use the values specified above. (IHEdotsent)
@code
 		CONF 1 … 1 F 48767-8
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 		1 … 1 F LOINC
@displayName
 		1 … 1 F Annotation Comment
hl7:text
 		ED 1 … 1 M The element provides a way to represent the to the text of the comment in the narrative portion of the document. For CDA, this SHALL be represented as a element that points to the narrative text section of the CDA. The comment itself is not the act being coded, so it appears in the of the , not as part of the . For HL7 Version 3 Messages, the element SHALL contain the full narrative text. (IHEdotsent)
hl7:statusCode
 		CS 1 … 1 M The code attribute of for all comments must be completed. (IHEdotsent)
@code
 		CONF 1 … 1 F completed
hl7:author
 		0 … 1 R The comment may have an author. (IHEdotsent)
@typeCode
 		cs 0 … 1 F AUT
hl7:time
 		TS 0 … 1 R The time of the comment creation shall be recorded in the (IHEdotsent)
hl7:assignedAuthor
 		1 … 1 M The identifier of the author, and their address and telephone number must be present inside the , and elements when the element is present. (IHEdotsent)
@classCode
 		cs 0 … 1 F ASSIGNED
hl7:id
 		II 1 … 1 R (IHEdotsent)
hl7:addr
 		AD 1 … 1 R (IHEdotsent)
hl7:telecom
 		TEL 1 … 1 R (IHEdotsent)
Choice 1 … 2
The author's and/or the organization's name must be present when the element is present.
Elements to choose from:
  • hl7:assignedPerson
  • hl7:representedOrganization
hl7:assignedPerson
 		0 … 1 R (IHEdotsent)
hl7:representedOrganization
 		0 … 1 R (IHEdotsent)